Important Alerts and Reminders
- Effective March 1, 2023, Aetna Choice POS II is the wraparound network supplementing the Benefit Funds’ directly contracted network for coverage outside New York City.
- On March 1, 2021, the Benefit Funds upgraded the comprehensive claims auditing software to ClaimsXten Select. ClaimsXten will continue to be updated on a quarterly or as-needed basis as new CPT/HCPCS, NCCI edits or other CMS data are issued or to reflect updates to the Benefit Funds’ customized policies. Visit the Benefit Funds’ providers claims page for additional information on ClaimsXten Select.
- Enroll in the NaviNet Provider portal to verify 1199SEIU patient eligibility, benefits, claim status and payment details, and to print copies of Explanations of Payments.
- Keep your information up to date. Please review the information we have on record for you, then submit any changes using the Provider Demographic Information Change Request Form, along with a Form W-9. You can easily access the form and instructions from the Benefit Funds’ online provider directory: Find your listing in the directory, then select “Report an Issue” and indicate your role as provider. While in the online directory, share your photo with the Benefit Funds so it can be included in your directory profile; just select “Upload Provider Photo.”
More Provider Connections
Change Healthcare Is the Benefit Funds’ Exclusive EDI Partner Effective May 15
The Benefit Funds previously shared information about consolidating Electronic Data Interchange (EDI) clearinghouses into a single gateway through our partnership with Change Healthcare. This consolidation became effective May 15. All clearinghouses and billing...
The Benefit Funds Have Partnered with Healthix for Access to Health Information Exchange
Through our partnership with Healthix, the Benefit Funds have access to key health information about our members’ healthcare. This allows the Benefit Funds to identify health gaps and enable clinical outcome trend analysis for its “Healthy Living” initiative. Please...
The Benefit Funds Support Members on Their Next Steps on Their Health Journeys
The Benefit Funds have partnered with WeightWatchers® to support members’ health journeys, including helping those with chronic conditions. According to WeightWatchers, its programs are proven to help those with diabetes control their blood sugar (measured by HbA1c)...
The Benefit Funds Offer Virta to Help Members Potentially Reverse Their Type 2 Diabetes
In April, the Benefit Funds launched access to Virta, a program with a medically based approach to reduce A1C levels and potentially even reverse type 2 diabetes without medications or surgery. Virta will be offered at no cost to eligible 1199SEIU members and their...